Organization
FAIR OAKS PODIATRY AND SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKEE OMAR SHABAZZ DPM (OWNER/PRESIDENT)
(703) 865-6783
Entity
Organization
Contact information
Practice address
3620 JOSEPH SIEWICK DR, SUITE 303, FAIRFAX, VA 22033-1756
(703) 865-6783
(703) 865-6784
Mailing address
12011 LEE JACKSON MEMORIAL HWY SUITE 440, FAIRFAX, VA 22033-1756
(703) 865-6783
(703) 865-6784
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300961
VA
Other
Enumeration date
04/14/2009
Last updated
09/13/2017
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